Uyakhumbula ukuba unengxaki yokuchama emva kotyando lwe-prostate okanye emva konyango lomhlaza ? Mhlawumbi uvakalelwa kukuba umchamo wakho unciphile, okanye uziva ngathi isinyi sakho asikakhuli ngokupheleleyo nokuba sele ugqibile. Ukuba uhlangabezana nezi mpawu, usenokuba ufumene imeko eyaziwa ngokuba yi- Bladder Neck Contracture . Nangona oku kunokuvakala kungaqhelekanga, nceda ungoyiki. Masixoxe ngale nto ngokulula nangokucacileyo ngesiNgesi .
Yintoni iSinyi seNtlambo?
Ngamafutshane, isinyi sakho somchamo sisitho esincinci, esingenanto esiswini sakho esingezantsi esenzelwe ukugcina umchamo. Cinga ngaso njengebhaluni: siyanda njengoko sizalisa kwaye sincipha xa usikhupha. Emazantsi esinyi, apho siqhagamshela khona nombhobho okhupha umchamo emzimbeni (i-urethra), kukho indawo ebizwa ngokuba yintamo yesinyi . Sisebenza njengesango lokuphuma komchamo.
Ngamanye amaxesha, emva konyango lwe-prostate—ingakumbi utyando— izicubu zesilonda zinokwenzeka kule ndawo. Ezi zicubu zesilonda zibangela ukuba intamo yesilonda inciphe okanye "inciphe." Cinga ngayo njengokuvaleka kombhobho wegadi othintela ukuhamba kwamanzi. Xa intamo yesilonda incipha, ukuchama kuba nzima, kwaye ukuba akulawuleki, kunokuchaphazela impilo yesilonda sakho kunye nezintso.
Kanye njengokuba ukuvalwa kwendlela kwenza kube nzima ukuba izithuthi zidlule, intamo yesinyi esincinci yenza kube nzima ukuba umchamo uphume ngendlela eqhelekileyo.
Loluphi unyango lwe-prostate olunokukhokelela kule meko?
Ayizizo zonke iindlela zonyango lweprostate ezibangela oku, kodwa ezi nkqubo zilandelayo zinomngcipheko wokuba ne-Bladder Neck Contracture:
- Ukususwa kweprostate : Utyando lokususa inxalenye okanye yonke i-prostate gland.
- Ukususwa kweprostate ngokupheleleyo : Inkqubo yokususa lonke idlala leprostate, edla ngokwenziwa kumhlaza.
- Ukususwa kweprostate nge-transurethral (TURP) : Inkqubo apho kufakwa khona izixhobo nge-urethra ukususa izicubu zeprostate ezivalelekileyo.
- Unyango ngemitha : Imitha enamandla aphezulu esetyenziselwa ukutshabalalisa iiseli zomhlaza .
Nceda ukhumbule, ayinguye wonke umntu ofumana olu nyango oza kuba nale meko.
Ingaba i-Bladder Neck Contraction iyanyangeka?
Ewe, inganyangeka ngokupheleleyo. Ukuba ufumana ezi mpawu emva kotyando lwe-prostate, thetha nogqirha wakho ngokukhawuleza. Baza kukumisela isicwangciso sonyango esifanelekileyo kuwe. Akukho sizathu sokoyika.
Ixhaphake kangakanani le meko?
Enyanisweni, le yimeko engaqhelekanga kakhulu . Ngokutsho kweengcali, malunga nesigulane esinye kuphela kwabalishumi esiba ne-Bladder Neck Contracture emva kotyando lwe-prostate. Ngoko ke, akukho mfuneko yokukhathazeka ngokungeyomfuneko.
Zithini iimpawu zeSinyi seNtlambo?
Ezi mpawu azisoloko zibonakala ngequbuliso; zihlala zikhula kancinci kancinci kwaye zingaba lula ekuqaleni.
- Kufuneka utyhale (utsale) ukuze uqalise ukuchama. Ungafumanisa ukuba kufuneka uzame ngamandla endaweni yokuba umchamo uphume ngokukhululeka.
- Ukuchama okubuhlungu (i-dysuria). Oku kunokuvakala ngathi kukuhlaba okanye kukutsha.
- Umchamo obuthathaka. Umchamo awusaphumi ngamandla njengangaphambili.
- Umsinga oqalayo nomayo. Umsinga uqhubeka ngexesha elinye endaweni yokuba ngumsinga ohlala uhleli.
- Ukuziva ngathi kukho umchamo ongaphelelanga (ukugcinwa komchamo). Ukuziva ngathi kusekho umchamo kwisinyi.
- Iintsholongwane Eziqhelekileyo Zomchamo (ii-UTI). Ngenxa yokuba umchamo uhlala kwisinyi, iintsholongwane zinokukhula lula.
- Uphuhliso lwamatye esinyini .
- Ukutyibilika okanye ukulahleka kolawulo lwesinyi (ukungakwazi ukuzibamba ngokugqithisileyo).
Kwiimeko ezininzi, ezi mpawu ziqala ukubonakala kwiinyanga ezintathu ukuya kwezintandathu emva kotyando lwe-prostate. Usenokungawuboni umjelo obuthathaka ekuqaleni, kodwa unokuba mandundu ngokuhamba kwexesha, ngamanye amaxesha ukhokelele ekubeni ungakwazi ukuchama kwaphela. Ukuba ubona nayiphi na kwezi mpawu, ukufuna ingcebiso kagqirha kwangethuba yeyona ndlela ilungileyo yokwenza.
Kutheni intamo yesinyi incipha? Zithini izizathu?
Nangona abaphandi bengaqondi ngokupheleleyo ukuba kutheni i-Bladder Neck Contracture isenzeka, kukho izizathu ezininzi eziphambili ezaziwayo.
Enye ingxaki emva kotyando lwe-prostatectomy . Ngexesha lotyando, ugqirha we-urologist uqhagamshela kwakhona intamo yesinyi kwi-urethra, inkqubo ebizwa ngokuba yi-anastomosis . Njengoko uphola, ihlwili legazi elincinci (i-hematoma) linokwenziwa kufutshane okanye phantsi kwe-sutures. Oku kunokubangela ukuba i-sutures itsale okanye iqhekeke, nto leyo edala izithuba ekuqhagamshelanisweni kwakhona. Ezi zithuba zizaliswa zizicwili zesilonda, nto leyo ebangela ukuba isango eliphakathi kwesinyi kunye ne-urethra linciphe.
Enye into inokuba kukungafumani igazi elaneleyo kwindawo apho i-anastomosis ifunyenwe khona . Ukuba imithungo iqinile kakhulu, inokuyithintela imithambo yegazi ekufutshane, ithintele ukuphiliswa kwaye ikhuthaze ukwakheka kwezicubu ezibomvu.
Ngubani osengozini yokuQonda iNtlambo yesinyi?
Nabani na owenza utyando lweprostate unokuba nale meko.
Nangona kunjalo, ukuba uneemeko esele zikhona ezichaphazela ukujikeleza kwegazi —ezifana nesifo seswekile okanye isifo sentliziyo —umngcipheko wakho wokuba ne-Bladder Neck Contracture unokuba phezulu kancinci.
Ifunyaniswa njani le nto?
Ukuba ubonisa iimpawu, ingcali yomchamo yingcali enokuthi iqinisekise ukuba unesifo. Baza kwenza uvavanyo lomzimba kwaye banokuyalela uvavanyo oluthile.
Zeziphi iimvavanyo ezenziwayo?
Ugqirha wakho unokuyalela ezi mvavanyo zilandelayo zokuxilonga:
- I-Cystoscopy : Ngexesha le nkqubo, ugqirha wakho ufaka ityhubhu encinci, ekhanyisiweyo (i-cystoscope) nge-urethra yakho nakwisinyi sakho. Ungakhathazeki, uza kunikwa i -anesthetic yendawo ukuqinisekisa ukuba awuva ntlungu. Ugqirha angazalisa isinyi sakho ngamanzi acocekileyo okanye i-saline ukuze ubone kakuhle ulwelo lwesinyi.
- I-Cystourethrogram : Kolu vavanyo, ityhubhu encinci yeplastiki eguquguqukayo (i-catheter yomchamo) ikhokelwa nge-urethra yakho iye kwisinyi sakho. Idayi ekhethekileyo yomahluko idluliselwa kwityhubhu, kwaye kuthathwa ii-X-ray. Idayi igqamisa isinyi sakho, ivumela ugqirha ukuba abone kakuhle ulwakhiwo lwangaphakathi.
- I-voiding cystourethrogram (VCUG) : Oku kufana ne-cystourethrogram eqhelekileyo, kodwa kukho umahluko omnye obalulekileyo: i-X-ray ithathwa ngelixa ukhupha umchamo.
- Uvavanyo lwe-Uroflow : Olu vavanyo lulinganisa indlela ephuma ngayo i-bladder yakho. Lurekhoda isantya kunye nomthamo wokuhamba komchamo wakho ukuze kuchongwe naziphi na izinto ezivalelekileyo.
- Uvavanyo lomchamo oluhlala emva kokungasebenzi (PVR) : Usebenzisa iskeni ye-ultrasound , ugqirha wakho uya kulinganisa ngokuthe ngqo ukuba ingakanani intsalela yomchamo kwisinyi sakho emva kokuba ugqibile ukuchama.
Ezi zixhobo zokuxilonga zinceda ugqirha wakho ukuba amisele ngokuchanekileyo ubungakanani kunye nesizathu sokuncipha kwentamo yesinyi sakho.
Inyangwa njani i-Bladder Neck Contracture?
Kukho iindlela ezahlukeneyo zonyango ezikhoyo. Umboneleli wakho wezempilo waseNirogi Lanka uya kugqiba eyona ndlela ifanelekileyo yonyango oluhambelana nemeko yakho.
- Ukwandisa : Olu asilotyando olusemthethweni kwaye lunokwenziwa eofisini kagqirha. Ugqirha ufaka kancinci kancinci iityhubhu ezinobukhulu obukhulayo kwi-urethra yakho ukuze anwebe indawo enciphileyo. Nje ukuba ikhuliswe, inokuvumela ukufakwa okwethutyana kwe-catheter yomchamo ukunceda ekukhupheni amanzi.
- Inkqubo ye-Transurethral : Le yinkqubo yotyando eyenziwa phantsi kwe-anesthesia. Esebenzisa isixhobo esikhethekileyo (i-resectoscope), ugqirha usebenzisa umbane ukususa izicubu ezibangela ukuvaleka kwentamo yesinyi.
- Ukwakhiwa ngokutsha komchamo kunye nokuphambuka komchamo : Oku kugcinelwe iimeko ezinzima apho intamo yesinyi ivalekile kakhulu. Kwezinye iimeko, inxalenye okanye yonke isinyi ingadinga ukususwa, kwaye kufuneka kwenziwe indlela entsha yokuba umchamo uphume emzimbeni, ngesiqhelo kubandakanya umngxuma omncinci esiswini (stoma) apho umchamo uphuma khona ungene kwingxowa yangaphandle.
Ugqirha wakho uza kuxoxa nawe ngezi nkqubo ngokweenkcukacha ngokusekelwe kwiimfuno zakho zonyango.
Ingaba ukuQonda kweNtlambo yesinyi kuyaphela ngokwako?
Hayi, le meko ayiziphili yodwa. Nangona kunjalo, ukuba ukudumba kwakho kuncinci kwaye akubangeli iingxaki zezintso okanye ingxaki enkulu ekukhupheni isinyi sakho, ugqirha wakho unokucebisa indlela "yokulinda ubone", apho ujonga nje iimpawu zakho ukuba kukho naluphi na utshintsho.
Lingakanani ixesha lokuchacha emva kotyando lwentamo yesinyi?
Uninzi lwezigulana luyaphola kwiiveki ezimbini ukuya kwezintathu emva kotyando. Nangona kunjalo, amaxesha okuphiliswa ayahluka ngokwahlukeneyo; ugqirha wakho uya kunika uqikelelo lomntu ngamnye lokuphola kwakho.
Ngaba ukuQonda kweNtlalo yesinyi kungathintelwa?
Akukho ndlela ithile yokuthintela le meko, njengoko yingxaki engaqhelekanga enokwenzeka ngamanye amaxesha emva kweenkqubo zeprostate ngenxa yokwakheka kwezicubu zesilonda.
Yintoni endimele ndiyilindele ukuba ndine-Bladder Neck Contracture?
Unyango ludla ngokuzisa iziphumo ezilungileyo. Nangona kunjalo, kukho umngcipheko wokuba izicubu ezibomvu zingatshintsha, nto leyo ebangela ukuba ukudumba kuphinde kubuye . Lo mngcipheko uphezulu ukuba:
- Ukhe wanyangwa ngemisebe .
- Ukhe watyandwa izihlandlo ezininzi ngaphambili okanye watyandwa kwi-urethra yakho.
- Bekukho iingxaki ngexesha lonyango lwakho lokuqala lokuqunjelwa.
Ukuba imeko ibuya kwakhona, kunokufuneka unyango olongezelelweyo.
Ndifanele ndimbone nini ugqirha?
Ukuba ufumana naziphi na iimpawu zokuqunjelwa kwentamo yesinyi emva kwenkqubo yeprostate, qiniseka ukuba uqhagamshelana nogqirha wakho ngoko nangoko . Ukuba sele unyangwa, xela naziphi na iimpawu ezintsha okanye eziya ziba mandundu ngoko nangoko.
Ndingaya nini kwiSebe leeNgxamiseko?
Funa uncedo olukhawulezileyo ukuba ufumana nayiphi na kwezi zilandelayo:
- Ukungakwazi ngokupheleleyo ukuchama.
- Intlungu ebuhlungu esiswini okanye kwindawo yakho yamathumbu.
- Ukubila kakhulu okanye ukuziva utyhafile.
Ndingayibuza yiphi imibuzo ugqirha wam?
Ukuze ufumane uncedo olupheleleyo kwingcebiso yakho, cinga ngokubuza oku kulandelayo:
- Ndenze njani ukuba intamo yesinyi ibe nokuqina?
- Loluphi unyango olundicebisayo?
- Ingakanani ixesha elilindelekileyo lokubuyela kwimeko yesiqhelo kule nkqubo?
- Ingaba kukho umngcipheko omkhulu wokuba imeko ibuyele emva konyango?
Khumbula, nangona ukudumba kwentamo yesinyi kuyingxaki engaqhelekanga eyenza kube nzima ukuchama, kodwa inokunyangwa. Kwizigulane ezininzi, utyando luzicombulula ngempumelelo iimpawu, nangona kufuneka unyango olulandelayo ngamanye amaxesha ukuba imeko iphinda ivele.
Umyalezo Wokuya Ekhaya
Ukuba ufumana ubunzima bokuchama, umjelo obuthathaka, okanye ukungakwazi ukukhupha yonke into kwisinyi sakho emva konyango lwe-prostate, usenokuba ujongene ne- Bladder Neck Contracture . Nangona ingaqhelekanga, yimeko enokunyangeka . Musa ukoyika; cwangcisa idinga nogqirha we-urologist ngokukhawuleza. Baza kumisela isicwangciso sonyango esifanelekileyo sokukunceda ubuyisele umgangatho wobomi bakho. Musa ukubandezeleka ngokuthula—thetha ngokukhululekileyo nogqirha wakho. Ndikunqwenelela impilo entle eNirogi Lanka!
